A young woman with a severe bilateral pneumonia as the presenting sign of an adrenal carcinoma

Neth J Med. 2008 Mar;66(3):121-4.

Abstract

A severe bilateral, culture-negative pneumonia was diagnosed in a 22-year-old woman. Additional diagnostic procedures accidentally revealed a large adrenal carcinoma and hypercortisolism. The adrenal carcinoma was surgically removed, and she received mitotane treatment. This severe and life-threatening infection was the first sign of an immunosuppressive state as part of Cushing's syndrome due to the adrenal carcinoma.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Neoplasms / complications*
  • Adrenal Gland Neoplasms / diagnosis*
  • Adrenal Gland Neoplasms / drug therapy
  • Adrenal Gland Neoplasms / surgery
  • Adult
  • Antineoplastic Agents, Hormonal / therapeutic use
  • Carcinoma / complications*
  • Carcinoma / diagnosis*
  • Carcinoma / drug therapy
  • Carcinoma / surgery
  • Cushing Syndrome / complications*
  • Cushing Syndrome / etiology
  • Female
  • Humans
  • Immunocompromised Host*
  • Mitotane / therapeutic use
  • Pneumonia / diagnosis*
  • Pneumonia / etiology

Substances

  • Antineoplastic Agents, Hormonal
  • Mitotane